Lee Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LEE MEDICAL GROUP

Practice address

7905 Malcolm Rd
Clinton, MD 20735-1734

Phone

(301) 877-9454

NPI assigned

May 30, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Caryl Matthew

Title

Dir of Operations

Phone

(301) 877-9454

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1366600884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 RIVIERA ST STE 2C",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207481719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7905 MALCOLM RD",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351734",
            "telephone_number": "301-877-9454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "MATTHEW",
        "authorized_official_first_name": "CARYL",
        "authorized_official_title_or_position": "DIR OF OPERATIONS",
        "authorized_official_telephone_number": "301-877-9454"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154002500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bronte Angelia Adoremos Lantin
• Gloria J Larman, CRNA
• Latesha Powell
• Trinita Renee Lattimore, LCPC-S
• Margaret Laurence-Whitlock, SPEECH LANGUAGE PATH
• Marc Leffer, M.D.
• Rachel Leister, DDS
• Gayatri Lessey, MBBS
• Norman A Lester, M.D.
• Kevin G. Leveling, CRNA

• Family Medicine Physician in Clinton, MD
• Providers in Clinton, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.